De Rivera, Charles Raymond

De Rivera, Charles Raymond is an individual health care provider with primary practice located at 36000 Darnall Loop , Fort Hood TX 76544-5095. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. De Rivera, Charles Raymond can be contacted via phone (254) 288-5602.

Contact Information

Primary practice address
36000 Darnall Loop Fort Hood TX 76544-5095
Phone: (254) 288-5602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X S11224 Texas

Profile Details

NPI number 1578603882
LBN Legal business name De Rivera, Charles Raymond
Credentials LCSW, ABD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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